DR. Samantha Alexandria Clark, DDS

NPI #1174967277 in Polson, Montana

Provider Information

NPI Number
1174967277
Entity Type
Individual
Name
DR. Samantha Alexandria Clark, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Apr 19, 2013
Last Updated
Sep 10, 2015

Practice Location

Address
5 4TH AVE. E.
City
Polson
State
Montana
ZIP Code
59860
Phone
(406) 745-3525

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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